NICHOLAS ROBERT POLOVINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131102

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

ROBERT

Last Name

POLOVINA

Business Name

NICHOLAS ROBERT POLOVINA

Original Issue Date

06/08/2000

Effective Date

06/08/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005